LATEST NEW YORK STATE NURSING
LICENSING EXAM (NCLEX-RN/PN) EXAM |
CURRENTLY TESTING QUESTIONS WITH
VERIFIED ANSWERS AND RATIONALES.
1. A 58-year-old male presents with chest
pressure radiating to the jaw, diaphoresis, and
nausea. Vital signs: BP 160/95, HR 110, RR 22,
O2 sat 94%. What is the MOST appropriate next
step?
A. Order a chest x-ray
B. Administer sublingual nitroglycerin and
obtain a stat ECG
C. Schedule a stress test for tomorrow
D. Prescribe ibuprofen for costochondritis
Correct answer: B
Rationale: Symptoms suggest acute coronary
syndrome. Immediate action includes
nitroglycerin (if no hypotension) and ECG to
assess for ischemia .
,2. On cardiac auscultation, you hear a harsh,
crescendo-decrescendo systolic murmur at the
right second intercostal space radiating to the
carotids. This is most consistent with:
A. Mitral regurgitation
B. Aortic stenosis
C. Ventricular septal defect
D. Mitral valve prolapse
Correct answer: B
Rationale: Aortic stenosis murmur is systolic,
harsh, best heard at right 2nd ICS (aortic area)
with radiation to carotids .
3. A 72-year-old with atrial fibrillation on
apixaban presents with melena for 2 days. Hb
8.9 (baseline 12.3). BP 100/62, HR 104. What is
the immediate management?
A. Hold apixaban, IV fluids, GI consultation
B. Continue apixaban; GI bleed is expected
C. Hold apixaban, administer vitamin K
D. Switch to warfarin
,Correct answer: A
Rationale: Overt GI bleed on DOAC: hold
anticoagulation, hemodynamic support, GI
evaluation. Vitamin K is ineffective for DOACs .
4. A 66-year-old with PAD presents with right
calf pain at rest, worse at night, relieved by
dangling. Foot is pale, cool, capillary refill 6
seconds. Pedal pulse absent. What is the
appropriate initial action?
A. Elevate extremity
B. Apply warming blanket
C. Immediate vascular surgery referral
D. Start cilostazol
Correct answer: C
Rationale: Acute limb ischemia (rest pain,
pallor, pulselessness) is a vascular emergency.
Immediate referral for possible
embolectomy/thrombectomy .
, 5. What is the minimum number of collaborative
practice hours required before an NP may
prescribe Schedule II controlled substances
without direct physician involvement in NYS?
A. 1,800 hours
B. 2,400 hours
C. 3,600 hours
D. 4,800 hours
Correct answer: C
Rationale: NYS requires 3,600 hours of
collaborative practice under a written practice
agreement before independent Schedule II
prescribing authority .
6. Which New York State entity is responsible
for the licensure and regulation of nurses?
A. Department of Health
B. New York State Education Department
(NYSED), Office of the Professions
C. Board of Regents
D. National Council of State Boards of Nursing
LICENSING EXAM (NCLEX-RN/PN) EXAM |
CURRENTLY TESTING QUESTIONS WITH
VERIFIED ANSWERS AND RATIONALES.
1. A 58-year-old male presents with chest
pressure radiating to the jaw, diaphoresis, and
nausea. Vital signs: BP 160/95, HR 110, RR 22,
O2 sat 94%. What is the MOST appropriate next
step?
A. Order a chest x-ray
B. Administer sublingual nitroglycerin and
obtain a stat ECG
C. Schedule a stress test for tomorrow
D. Prescribe ibuprofen for costochondritis
Correct answer: B
Rationale: Symptoms suggest acute coronary
syndrome. Immediate action includes
nitroglycerin (if no hypotension) and ECG to
assess for ischemia .
,2. On cardiac auscultation, you hear a harsh,
crescendo-decrescendo systolic murmur at the
right second intercostal space radiating to the
carotids. This is most consistent with:
A. Mitral regurgitation
B. Aortic stenosis
C. Ventricular septal defect
D. Mitral valve prolapse
Correct answer: B
Rationale: Aortic stenosis murmur is systolic,
harsh, best heard at right 2nd ICS (aortic area)
with radiation to carotids .
3. A 72-year-old with atrial fibrillation on
apixaban presents with melena for 2 days. Hb
8.9 (baseline 12.3). BP 100/62, HR 104. What is
the immediate management?
A. Hold apixaban, IV fluids, GI consultation
B. Continue apixaban; GI bleed is expected
C. Hold apixaban, administer vitamin K
D. Switch to warfarin
,Correct answer: A
Rationale: Overt GI bleed on DOAC: hold
anticoagulation, hemodynamic support, GI
evaluation. Vitamin K is ineffective for DOACs .
4. A 66-year-old with PAD presents with right
calf pain at rest, worse at night, relieved by
dangling. Foot is pale, cool, capillary refill 6
seconds. Pedal pulse absent. What is the
appropriate initial action?
A. Elevate extremity
B. Apply warming blanket
C. Immediate vascular surgery referral
D. Start cilostazol
Correct answer: C
Rationale: Acute limb ischemia (rest pain,
pallor, pulselessness) is a vascular emergency.
Immediate referral for possible
embolectomy/thrombectomy .
, 5. What is the minimum number of collaborative
practice hours required before an NP may
prescribe Schedule II controlled substances
without direct physician involvement in NYS?
A. 1,800 hours
B. 2,400 hours
C. 3,600 hours
D. 4,800 hours
Correct answer: C
Rationale: NYS requires 3,600 hours of
collaborative practice under a written practice
agreement before independent Schedule II
prescribing authority .
6. Which New York State entity is responsible
for the licensure and regulation of nurses?
A. Department of Health
B. New York State Education Department
(NYSED), Office of the Professions
C. Board of Regents
D. National Council of State Boards of Nursing
